Establishment of a Nomogram prediction model for chronic constipation patients based on body position exercise training

ZHU Huayuan; ZHANG Yajuan; SUN Qian; HUANG Yan; YANG Bingyin

doi:10.7619/jcmp.20241488

Journal of Clinical Medicine in Practice > 2024 > 28(17): 109-113. > DOI: 10.7619/jcmp.20241488

ZHU Huayuan, ZHANG Yajuan, SUN Qian, HUANG Yan, YANG Bingyin. Establishment of a Nomogram prediction model for chronic constipation patients based on body position exercise training[J]. Journal of Clinical Medicine in Practice, 2024, 28(17): 109-113. DOI: 10.7619/jcmp.20241488

Citation:

PDF (1381 KB)

Establishment of a Nomogram prediction model for chronic constipation patients based on body position exercise training

1.
Department of Gastroenterology, Huai'an Second People's Hospital, Huai'an, Jiangsu, 223002
2.
Department of Gastroenterology, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, 215001

More Information

Received Date: April 11, 2024
Revised Date: June 02, 2024

Graphical Abstract

Abstract

Abstract

Objective
To construct a Nomogram prediction model based on body position exercise training for patients with chronic constipation.
Methods
A total of 327 patients with chronic constipation from March 2021 to March 2023 were divided into qualified group (n=279) and unqualified group (n=48) according to their performance in body position exercises. General clinical materials of the patients were collected, and univariate and multivariate Logistic regression analyses were performed to identify risk factors for unqualified body position exercises in patients with chronic constipation; the R software was used to construct a Nomogram model for predicting unqualified body position exercises in patients with chronic constipation, and the receiver operating characteristic (ROC) curve and calibration curve were applied to verify the discrimination and consistency of the Nomogram model.
Results
There were no significant differences in gender, education level, history of smoking, history of alcohol abuse, history of hypertension, history of abdominal surgery, history of colonoscopy, and correct medication administration ratio between the two groups (P>0.05); the unqualified group had higher age, longer duration of chronic constipation, and a higher proportion of diabetes history compared to the qualified group (P < 0.05); age, duration of chronic constipation, and diabetes history were independent risk factors for unqualified body position exercises in patients with chronic constipation (P < 0.05). The constructed Nomogram prediction model demonstrated excellent discrimination (area under the curve was 0.923, 95%CI, 0.888 to 0.949, with sensitivity and specificity of 87.50% and 81.00% respectively) and consistency (H-L goodness-of-fit test χ²=2.246, P=0.973). The clinical value of this Nomogram model in predicting unqualified body position exercises for patients with chronic constipation was high when the high-risk threshold probability ranged from 0.06 to 0.80.
Conclusion
Age, duration of chronic constipation, and diabetes history are independent risk factors for unqualified body position exercises in patients with chronic constipation, and the Nomogram model constructed based on these multi-factor results has high discrimination and consistency in predicting unqualified body position exercises for patients with chronic constipation.
- chronic constipation,
- body position exercises,
- Nomogram prediction model,
- influencing factors

FullText(HTML)

References (15)

References

[1]	SPERBER A D, BANGDIWALA S I, DROSSMAN D A, et al. Worldwide prevalence and burden of functional gastrointestinal disorders, results of Rome foundation global study[J]. Gastroenterology, 2021, 160(1): 99-114, e3. doi: 10.1053/j.gastro.2020.04.014
[2]	BHARUCHA A E, LACY B E. Mechanisms, evaluation, and management of chronic constipation[J]. Gastroenterology, 2020, 158(5): 1232-1249, e3. doi: 10.1053/j.gastro.2019.12.034
[3]	ATHANASAKOS E, DALTON S, MCDOWELL S, et al. Scientific solution to a complex problem: physiology and multidisciplinary team improve understanding and outcome in chronic constipation and faecal incontinence[J]. Pediatr Surg Int, 2020, 36(3): 295-303. doi: 10.1007/s00383-019-04605-y
[4]	陆娟, 崔枫岚, 朱建华, 等. 便秘体操联合提肛运动在预防脊柱骨折患者便秘中的效果观察[J]. 当代护士: 上旬刊, 2019, 26(3): 138-140.
[5]	XIA H Z, BI H, YAN Y, et al. A novel nomogram provides improved accuracy for predicting biochemical recurrence after radical prostatectomy[J]. Chin Med J, 2021, 134(13): 1576-1583. doi: 10.1097/CM9.0000000000001607
[6]	中华医学会消化病学分会胃肠动力学组, 中华医学会外科学分会结直肠肛门外科学组. 中国慢性便秘诊治指南(2013, 武汉)[J]. 胃肠病学, 2013, 18(10): 605-612.
[7]	BHARUCHA A, WALD A. Chronic constipation[J]. Mayo Clin Proc, 2019, 94(11): 2340-2357. doi: 10.1016/j.mayocp.2019.01.031
[8]	SCOTT S M, SIMRÉN M, FARMER A D, et al. Chronic constipation in adults: Contemporary perspectives and clinical challenges. 1: Epidemiology, diagnosis, clinical associations, pathophysiology and investigation[J]. Neurogastroenterol Motil, 2021, 33(6): e14050. doi: 10.1111/nmo.14050
[9]	SCHOBER P, VETTER T R. Logistic regression in medical research[J]. Anesth Analg, 2021, 132(2): 365-366. doi: 10.1213/ANE.0000000000005247
[10]	KIM H Y. Cecal intubation time in screening colonoscopy[J]. Medicine, 2021, 100(19): e25927. doi: 10.1097/MD.0000000000025927
[11]	张丽娜, 吴瑶瑶, 盛小艳, 等. 体位操在胃镜检查效果中的临床价值分析[J]. 护理与康复, 2023, 9(2): 43-45.
[12]	梁毅. 便秘防治体操在预防中央束综合征便秘中的效果观察[J]. 世界最新医学信息文摘: 连续型电子期刊, 2019, 19(93): 352, 360.
[13]	GUO X X, WANG C, ZHANG R R, et al. Scrophulariae Radix-Atractylodes sinensis pair and metformin inhibit inflammation by modulating gut microbiota of high-fat diet/streptozotocin-induced diabetes in rats[J]. Front Microbiol, 2022, 13: 900021. doi: 10.3389/fmicb.2022.900021
[14]	成颖莹, 王娟, 戎伟芳, 等. 1型糖尿病大鼠外周5-HT水平下降与结肠动力障碍的相关性研究[J]. 同济大学学报: 医学版, 2019, 40(5): 548-553.
[15]	白爱莲, 侯丽英, 张惠玲, 等. 慢性便秘患者结肠镜检查前肠道准备不合格的影响因素及护理对策分析[J]. 中华现代护理杂志, 2022, 28(1): 86-90.

[1]	DONG Junqiang, XIE Fei, ZHANG Zhixiang, JIA Fang. Differential diagnosis of pancreatic cancer and pancreatitis by multi-slice spiral CT and MRI[J]. Journal of Clinical Medicine in Practice, 2023, 27(9): 8-12. DOI: 10.7619/jcmp.20230321
[2]	GUO Huafeng, WANG Xiaonan, YANG Lu. Application of multi-slice spiral CT combined with MRI in diagnosis of cerebral infarction and cerebral hemorrhage[J]. Journal of Clinical Medicine in Practice, 2020, 24(23): 8-10,14. DOI: 10.7619/jcmp.202023003
[3]	WANG Xiaonan, GUO Huafeng, YANG Lu. Analysis of multi-slice spiral CT in diagnosis of non-small cell lung cancer and small cell lung cancer[J]. Journal of Clinical Medicine in Practice, 2020, 24(23): 5-7. DOI: 10.7619/jcmp.202023002
[4]	XIAO Bin. Value of 16-slice spiral CT scanning versus transvaginal ultrasound in diagnosing female pelvic tumors[J]. Journal of Clinical Medicine in Practice, 2020, 24(20): 72-74,78. DOI: 10.7619/jcmp.202020020
[5]	ZHOU Chunshan, HUANG Yan, YAN Wenchao. Value of computed tomography scan versus magnetic resonance imaging in the diagnosis of pancreatic cystadenocarcinoma[J]. Journal of Clinical Medicine in Practice, 2020, 24(20): 47-50. DOI: 10.7619/jcmp.202020013
[6]	WU Huadong, JIAO Lidong. Value of multi-slice spiral CT and echocardiogram in evaluation of right heart function in patients with acute pulmonary embolism[J]. Journal of Clinical Medicine in Practice, 2020, 24(19): 5-8. DOI: 10.7619/jcmp.202019002
[7]	YIN Jiansong, XUE Mei, WANG Jing, LIU Caixia, WAN Yu. Diagnostic value of oxygen saturation monitoring combined with auscultation murmur detection in congenital heart disease[J]. Journal of Clinical Medicine in Practice, 2020, 24(3): 78-80. DOI: 10.7619/jcmp.202003022
[8]	LI Xiaomin, HU Xiaoyun, LIU Renfei. Value of magnetic resonance imaging versus spiral CT in the diagnosis of biliary diseases[J]. Journal of Clinical Medicine in Practice, 2019, 23(16): 33-36. DOI: 10.7619/jcmp.201916009
[9]	GUO Weijuan, YANG Liu, WU Dong, QIN Na. Application of CT perfusion original image combined with edaravone in stroke patients[J]. Journal of Clinical Medicine in Practice, 2019, 23(10): 58-60, 68. DOI: 10.7619/jcmp.201910016
[10]	WANG Chuanzhen, WANG Cuixiang, LI Qiang. Application value of multilayer spiral CT combined with MRI in the diagnosis of wrist joint injury[J]. Journal of Clinical Medicine in Practice, 2013, (15): 51-53. DOI: 10.7619/jcmp.201315018

Cited By

Cited by

Periodical cited type(7)

1.	苏燕，徐九云，雷海露，刘晓蓓. 老年危重症患者发生再喂养综合征的危险因素回归方程的构建及干预措施分析. 实用临床医药杂志. 2024(01): 123-128 . 本站查看
2.	谢婷，侯超，周旭辉，郭育君，练宇泽，曾亚琦. 经皮穴位电刺激在酒精依赖患者中的应用效果. 实用临床医药杂志. 2024(02): 38-42 . 本站查看
3.	孙桂敏. 脑卒中伴吞咽障碍患者营养管理现况及研究进展. 医药前沿. 2024(24): 17-21 .
4.	王锦程，刘闯，周相宇，周素芳. 周素芳运用参苓白术散治疗酒精性肝病经验. 中医药通报. 2023(01): 12-14+67 .
5.	张兰，沈晓芳，金瑾，徐吉，张静. 无基础代谢性疾病急性缺血性卒中患者短期营养不良预测模型构建与验证. 中国卒中杂志. 2023(04): 428-433 .
6.	付志鹏，郑盛，杨涓. 肝硬化患者营养评价方法研究进展. 国际医药卫生导报. 2023(23): 3341-3344 .
7.	姚绍敏，王学义，余艳堂，雍恩华，宋志领. 早期营养支持对酒依赖患者临床结局的影响. 神经疾病与精神卫生. 2021(08): 557-561 .

Other cited types(0)

Get Citation

PDF

XML

Article views (126) PDF downloads (14) Cited by(7)

Turn off MathJax

Article Contents

Abstract

References

Establishment of a Nomogram prediction model for chronic constipation patients based on body position exercise training